Active NPI
Metropolitan Lithotriptor Associates
- Urology Physician
- East Meadow, NY
National Provider Identifier
1053340901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- METROPOLITAN LITHOTRIPTOR ASSOCIATES
- Practice address
- 2578 Hempstead Turnpike
East Meadow, NY 11554 - Phone
- (516) 731-8118
- Fax
- (516) 731-9263
- NPI assigned
- Jul 2, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David B Mandel
- Title
- President Coo
- Phone
- (646) 742-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
2578 Hempstead Turnpike
East Meadow, NY 11554
Mailing address
450 Park Avenue South
New York City, NY 10016
Phone (646) 742-8815
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000332 | Other | GHI | |
| IC7854 | Other | HEALTHNET | |
| 8459536 | Other | AETNA | |
| AZ00256 | Medicaid | NY | |
| 001151 | Other | HORIZON | |
| ANC144 | Other | OXFORD | |
| 293999 | Other | UNITED HEALTH CARE | |
| 97003 | Other | CIGNA |
National Provider Directory
National Provider Directory- Tax ID family
- Metropolitan Lithotriptor Associates
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Brooklyn, NY
- NPI 1386912368
-
- Urology Physician
- Brooklyn, NY
- NPI 1457665788
-
- Specialist
- Hauppauge, NY
- NPI 1972835056
-
- Urology Physician
- Bronx, NY
- NPI 1457643413
Locations
450 Park Ave S
New York, NY 10016
Phone (212) 679-6776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053340901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 PARK AVENUE SOUTH",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10016",
"telephone_number": "646-742-8815",
"fax_number": "212-481-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2578 HEMPSTEAD TURNPIKE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "11554",
"telephone_number": "516-731-8118",
"fax_number": "516-731-9263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN LITHOTRIPTOR ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANDEL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT COO",
"authorized_official_telephone_number": "646-742-8800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1000332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "IC7854",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "8459536",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AZ00256",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "001151",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ANC144",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "293999",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "97003",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.